Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518214436 Individual Practitioner Female Practitioner

Shirley Ellis , SLPD, CCC-SLP

Speech-Language Pathologist • Eudora, AR

Professional Overview & Biography Verified Profile Summary

Shirley Ellis, SLPD, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Eudora, AR. Practice services are available at 220 N HARLEM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 N Harlem St

Eudora, AR 716402755

Telephone 6183060889
Associated Practice Facility / Clinic
🏢 Perchel Labs Facility NPI 1154945301

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Eudora, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Eudora, AR (3707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.008667

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID American Speech-Language And Hearing Association
12096835 (MD)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 10, 2020

Registered at 220 N HARLEM ST, EUDORA, AR 716402755 (Tel: 6183060889)

📍
Updated Business Mailing Address June 10, 2020

Registered at 220 N HARLEM ST, EUDORA, AR 716402755 (Tel: 6183060889)

👤
Provider Name / Credentials Updated June 10, 2020

Recorded as SHIRLEY ELLIS, SLPD, CCC-SLP

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2012

Registered at 911 SO. MARION ST., CARBONDALE, IL 629011543 (Tel: 6183060889)

📍
Updated Business Mailing Address August 09, 2012

Registered at 911 SOUTH MARION STREET, CARBONDALE, IL 62901 (Tel: 6183060889)

👤
Provider Name / Credentials Updated August 09, 2012

Recorded as SHIRLEY ELLIS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Speech-Language Pathologist (License #146.008667 in IL)

🟢
Initial NPI Registration & Enumeration August 09, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518214436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2012
Last Update: June 10, 2020
Sole Proprietor: Yes

Mailing Address

220 N Harlem St

Eudora, AR 716402755

Phone: 6183060889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.